Feasibility and Outcomes of Simultaneous Gastric Bypass with Paraesophageal Hernia Repair in Elderly Patients

Hage, Karl; Cornejo-Aguilar, Jorge A.; Allotey, Jonathan K.; Castillo-Larios, Rocio; Caposole, Michael Z.; Iskandar, Mazen; Kellogg, Todd A.; Galvani, Carlos; Elli, Enrique F.; Ghanem, Omar M.

doi:10.1007/s11695-023-06726-9

OBES SURG

2023

DOI: 10.1007/s11695-023-06726-9

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Feasibility and Outcomes of Simultaneous Gastric Bypass with Paraesophageal Hernia Repair in Elderly Patients

Karl Hage

Jorge A. Cornejo-Aguilar

Jonathan K. Allotey

et al.

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2024

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Cited by 2 publications

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Simultaneous treatment of large hiatal hernias during Roux-en-Y gastric bypass: technical considerations and outcome

Kollmann,

Thurner,

Miras

et al. 2024

Updates Surg

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Roux-en-Y gastric bypass (RYGB) is the preferred surgical option for patients with proven gastroesophageal reflux disease and obesity grade ≥ II (BMI ≥ 35 kg/m2). Data on simultaneous treatment of larger hiatal hernias during RYGB are scarce. From 2012 until 2022, data from all consecutive patients undergoing gastric bypass procedures were collected and retrospectively analyzed. The characteristics and surgical outcomes of patients undergoing RYGB alone (RYGBa) versus RYGB with simultaneous treatment of a large hiatal hernia (RYGB-HH) were compared. Out of 573 patients who received RYGB, we identified 12 simultaneously treated for large hiatal hernia. The characteristics of RYGB-HH versus RYGBa patients were higher age (55 vs. 44 years; p = 0.004) and lower BMI (39.2 vs. 46.9 kg/m2; p = 0.001). Duration of surgery in the RYGB-HH group was longer (144 min vs. 98 min; p < 0.001), while complications > Clavien–Dindo II were similar compared to the RYGBa group (8.3 vs. 9.4%, p = 0.56). Length of stay did not differ among the groups (4 vs. 5.5 days, p = 0.051). At a median follow-up of 12 months, there was no clinical recurrence of hiatal hernia in the RYGB-HH group. Simultaneous treatment of large hiatal hernias during Roux-en-Y gastric bypass surgery prolongs operation time but seems feasible and safe in the hands of experienced surgeons.

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Simultaneous treatment of large hiatal hernias during Roux-en-Y gastric bypass: technical considerations and outcome

Kollmann,

Thurner,

Miras

et al. 2024

Updates Surg

View full text Add to dashboard Cite

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Future Prospects of Metabolic and Bariatric Surgery: A Comprehensive Review

Hage,

Perrotta,

Betancourt

et al. 2024

Healthcare

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Background: The field of metabolic and bariatric surgery (MBS) is currently an expanding surgical field with constant refinements in techniques, outcomes, indications, and objectives. MBS has been effectively applied across diverse patient demographics, including varying ages, genders, body mass indexes, and comorbidity statuses. Methods: We performed a comprehensive literature review of published retrospective cohort studies, meta-analyses, systematic reviews, and literature reviews from inception to 2024, reporting outcomes of MBS using databases such as PubMed, ScienceDirect, and Springer Link. Results: MBS is a safe and efficient therapeutic option for patients with obesity and associated medical conditions (mortality rate 0.03–0.2%; complication rates 0.4–1%). The favorable safety profile of MBS in the short-, mid-, and long-term offers the potential to treat patients with obesity and type 2 diabetes mellitus, immunosuppression, chronic anticoagulation, neoplastic disease, and end-organ failure without increased morbidity and mortality. Conclusions: In conclusion, the future of MBS lies in the ongoing innovation and adapted therapeutic strategies along with the integration of a variety of other techniques for managing obesity. Careful preoperative assessments, coupled with a multidisciplinary approach, remain essential to ensure optimal surgical outcomes and patient satisfaction after MBS.

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Feasibility and Outcomes of Simultaneous Gastric Bypass with Paraesophageal Hernia Repair in Elderly Patients

Cited by 2 publications

References 28 publications

Simultaneous treatment of large hiatal hernias during Roux-en-Y gastric bypass: technical considerations and outcome

Simultaneous treatment of large hiatal hernias during Roux-en-Y gastric bypass: technical considerations and outcome

Future Prospects of Metabolic and Bariatric Surgery: A Comprehensive Review

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